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NPI Code Detail

MEDICARE: MARKITA MCKOY

MEDICARE: MARKITA MCKOY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist21149CA

General Provider Information

NPI Number : 1497265201
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARKITA MCKOY
Provider Business Mailing Address
First Line : 294 CALDERA ST
Second Line :
City : PERRIS
State : CA
Zip : 92570-5528
Country : US
Telephone Number : 443-691-2544
Fax Number :
Provider Business Practice Location Address
First Line : 6800 BROCKTON AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92506-3835
Country : US
Telephone Number : 951-779-1966
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2017
Last Update Date : 02/19/2024

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Directions to “ MARKITA MCKOY ” Practice Location

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